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Storytelling by Community-Dwelling Older Adults: Perspectives of Home Care Workers

Research in Gerontological Nursing 

By Beth Mastel-Smith, PhD, RN; Brenda Binder, PhD, RN; Gayle Hersch, PhD, OTR; Harriett A. Davidson, MA, OTR; Teresa Walsh, PhD, RN


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Received: June 13, 2008; Accepted: March 13, 2010; Posted: July 30, 2010

The purpose of this exploratory, qualitative study was to investigate storytelling by home care clients to their home care workers (HCWs). Specific research questions were: (a) When does storytelling by a care recipient occur during usual care?; (b) How do HCWs engage older clients in storytelling?; (c) How do HCWs respond to the stories told by clients?; and (d) What is the perceived effect of storytelling by older clients on the relationship between the client and the HCW? Two focus groups consisting of 10 HCWs each were conducted. Verbatim transcripts of both focus groups were analyzed using the constant comparative analysis method. Categories and concepts were identified. Characteristics of the HCW and client set the stage for storytelling. The process of storytelling included context, triggers, and temporal aspects. HCWs also shared the content of stories, the impact on their relationship with the client, and the perceived effect on each individual. A visual model depicting the nature of storytelling in association with the care of older clients is presented.

doi:10.3928/19404921-20100702-02